Weekly Medicaid Update

The brief highlights recent Medicaid policy developments in key states over the past week, including, but not limited to: FL:   Legislature proposes FY21-22 budget MA:  House FY2022 budget proposal increases spending OH:  State proposes new Medicaid provider credentialing rule TN:  Medicaid recipients file lawsuit against block grant waiver implementation Click to read more.

BRG Expert Discussion: Healthcare Payer Index 2021

Conference Call | Thursday, April 29th, 1:00 PM ET BRG’s annual Healthcare Payer Index reveals the top 20 health insurer priorities for managing care and costs and how payers are transforming how they pay for healthcare and what they value. The Top 20 payer priorities look a lot different than a year ago: 3 services make their debut 5 services crack the top 10 7 services fall out of the top 20 There’s a new #1 Many of the usual targets are now opportunities On Thursday, April 29th, BRG's Managed Care team will host a special forum on the 16th annual Healthcare Payer Index. Managing Director,...

Recent Developments in Oral Surgery

Recent developments in oral surgery include increases in Medicare FFS spending, decreases in reimbursement for maxillofacial codes resulting from E&M reform, and more use of pre-pay review among commercial payers. Click to read more.

Managed Care Friday

263,999: Square feet, the size of the new ambulatory surgical center Kaiser is building in northern Virginia that will host multiple specialties, including radiology and infusion treatments. The building will boast a farmers' market and a health park with workout stations. Other services planned include nuclear medicine, diagnostic imaging, clinical lab, oncology pharmacies, primary and specialty clinics and a community center. Kaiser is also trying to double its retail clinic network by 2022, according to the company, and is adding 4 clinics in Southern California Target stores. Up In The...

CMS Announces Direct Contracting Entities

CMS’s Innovation Center announced participants in its Direct Contracting demonstration program, while also declining to accept new applicants for the 2022 demo year. Click to read more.